ArticleJournal of epidemiology and community health2015
Geographic variations in sleep duration: a multilevel analysis from the Boston Area Community Health (BACH) Survey.
Article in Journal of epidemiology and community health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Neighborhoods and sleep health among adults: A systematic review.Sleep health · 2022Pooled it
- Socioeconomic disparities in obstructive sleep apnea: a systematic review of empirical research.Sleep & breathing = Schlaf & Atmung · 2021Pooled it
- Determinants of variations in sleep patterns across Brazil: Exploring geographic influences.Sleep medicine: X · 2025Article
- The impact of neighborhood deprivation on sleep and circadian health in a large US cohort.Sleep health · 2025Article
- Exploring β-caryophyllene: a non-psychotropic cannabinoid's potential in mitigating cognitive impairment induced by sleep deprivation.Archives of pharmacal research · 2025Review
- Crime Risk and Depression Differentially Relate to Aspects of Sleep in Patients with Major Depression or Social Anxiety.Brain sciences · 2024Article
- [Is socioeconomic residential segregation associated with sleep problems? Insights from ELSA-Brasil].Cadernos de saude publica · 2024Article
- Neighborhood predictors of short sleep duration and bedtime irregularity among children in the United States: results from the 2019-2020 National Survey of Children's Health.World journal of pediatrics : WJP · 2024Article
- Cross-sectional association between neighborhood socioeconomic status and sleep duration among Black and white men and women: The Southern Community Cohort Study.Sleep health · 2023Article
- Article
- Measuring Sleep Health Disparities with Polysomnography: A Systematic Review of Preliminary Findings.Clocks & sleep · 2022Review
- Subjective and Objective Consequences of Stress in Subjects with Subjectively Different Sleep Quality-A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Associations between neighbourhood street pattern, neighbourhood socioeconomic status and sleep in adults.Preventive medicine reports · 2021Article
- Regional contextual influences on short sleep duration: a 50 universities population-based multilevel study in China.Global health action · 2018Article
- Race and sex differences in ambulatory blood pressure measures among HIV+ adults.Journal of the American Society of Hypertension : JASH · 2017Article
- Article
- Sleep duration and the cortisol awakening response in dementia caregivers utilizing adult day services.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016Article
- Dysbiotic drift: mental health, environmental grey space, and microbiota.Journal of physiological anthropology · 2015Review
- Socioeconomic status and sleep disturbances among pediatric population: a continental systematic review of empirical research.Sleep science (Sao Paulo, Brazil)Review
Corrections and comments
- Erratum issuedCorrection.2015
Authors and funding
7 authors.
Funding
Abstract
backgroundSleep plays an important role in health and varies by social determinants. Little is known, however, about geographic variations in sleep and the role of individual-level and neighbourhood-level factors.
methodsWe used a multilevel modelling approach to quantify neighbourhood variation in self-reported sleep duration (very short <5 h; short 5-6.9 h; normative 7-8.9 h; long ≥9 h) among 3591 participants of the Boston Area Community Health Survey. We determined whether geographic variations persisted with control for individual-level demographic, socioeconomic status (SES) and lifestyle factors. We then determined the role of neighbourhood SES (nSES) in geographic variations. Additional models considered individual health factors.
resultsBetween neighbourhood differences accounted for a substantial portion of total variability in sleep duration. Neighbourhood variation persisted with control for demographics, SES and lifestyle factors. These characteristics accounted for a portion (6-20%) of between-neighbourhood variance in very short, short and long sleep, while nSES accounted for the majority of the remaining between-neighbourhood variances. Low and medium nSES were associated with very short and short sleep (eg, very short sleep OR=2.08; 95% CI 1.38 to 3.14 for low vs high nSES), but not long sleep. Further inclusion of health factors did not appreciably increase the amount of between-neighbourhood variance explained nor did it alter associations.
conclusionsSleep duration varied by neighbourhood in a diverse urban setting in the northeastern USA. Individual-level demographics, SES and lifestyle factors explained some geographic variability, while nSES explained a substantial amount. Mechanisms associated with nSES should be examined in future studies to help understand and reduce geographic variations in sleep.
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